Mobihealth: mobile health services based on body area networks

In this chapter we describe the concept of MobiHealth and the approach developed during the MobiHealth project (MobiHealth, 2002). The concept was to bring together the technologies of Body Area Networks (BANs), wireless broadband communications and wearable medical devices to provide mobile healthcare services for patients and health professionals. These technologies enable remote patient care services such as management of chronic conditions and detection of health emergencies. Because the patient is free to move anywhere whilst wearing the MobiHealth BAN, patient mobility is maximised. The vision is that patients can enjoy enhanced freedom and quality of life through avoidance or reduction of hospital stays. For the health services it means that pressure on overstretched hospital services can be alleviated

Design and evaluation of a person-centric heart monitoring system over fog computing infrastructure

Heart disease and stroke are becoming the leading cause of death worldwide. Electrocardiography monitoring devices (ECG) are the only tool that helps physicians diagnose cardiac abnormalities. Although the design of ECGs has followed closely the electronics miniaturization evolution over the years, existing wearable ECG have limited accuracy and rely on external resources to analyze the signal and evaluate heart activity. In this paper, we work towards empowering the wearable device with processing capabilities to locally analyze the signal and identify abnormal behavior. The ability to differentiate between normal and abnormal heart activity significantly reduces (a) the need to store the signals, (b) the data transmitted to the cloud and (c) the overall power consumption. Based on this concept, the HEART platform is presented that combines wearable embedded devices, mobile edge devices, and cloud services to provide on-the-spot, reliable, accurate and instant monitoring of the heart. The performance of the system is evaluated concerning the accuracy of detecting abnormal events and the power consumption of the wearable device. Results indicate that a very high percentage of success can be achieved in terms of event detection ratio and the device being operative up to a several days without the need for a recharge

Modelling mobile health systems: an application of augmented MDA for the extended healthcare enterprise

Mobile health systems can extend the enterprise computing system of the healthcare provider by bringing services to the patient any time and anywhere. We propose a model-driven design and development methodology for the development of the m-health components in such extended enterprise computing systems. The methodology applies a model-driven design and development approach augmented with formal validation and verification to address quality and correctness and to support model transformation. Recent work on modelling applications from the healthcare domain is reported. One objective of this work is to explore and elaborate the proposed methodology. At the University of Twente we are developing m-health systems based on Body Area Networks (BANs). One specialization of the generic BAN is the health BAN, which incorporates a set of devices and associated software components to provide some set of health-related services. A patient will have a personalized instance of the health BAN customized to their current set of needs. A health professional interacts with their\ud patients¿ BANs via a BAN Professional System. The set of deployed BANs are supported by a server. We refer to this distributed system as the BAN System. The BAN system extends the enterprise computing system of the healthcare provider. Development of such systems requires a sound software engineering approach and this is what we explore with the new methodology. The methodology is illustrated with reference to recent modelling activities targeted at real implementations. In the context of the Awareness project BAN implementations will be trialled in a number of clinical settings including epilepsy management and management of chronic pain

Heart Disease Detection Using Mobile Phone and Wireless Sensor Networks

Heart disease is a leading cause of death at this era of globalization. The paper describes a heart disease detection using mobile phone and wireless sensor networks. The emergence of wearable sensor and wireless mobile technologies enable to detect and monitor the changes in health parameters irrespective of places and time. In addition, a prototype is developed that capable of wirelessly monitoring and real-time diagnosis of patient to solve the critical issue that the patients‟ activities is restricted with the dangling wire and weight of the electrocardiogram machine. It will be much more convenience for the patient to do a self-test diagnosis by using a wireless heart monitoring device. This prototype aims to use low cost implementation and provides reliable heartbeat monitoring result. This kind of real-time assistive medical diagnosis system consists of pulse sensor

Body sensor network for in-home personal healthcare

A body sensor network solution for personal healthcare under an indoor environment is developed. The system is capable of logging the physiological signals of human beings, tracking the orientations of human body, and monitoring the environmental attributes, which covers all necessary information for the personal healthcare in an indoor environment. The major three chapters of this dissertation contain three subsystems in this work, each corresponding to one subsystem: BioLogger, PAMS and CosNet. Each chapter covers the background and motivation of the subsystem, the related theory, the hardware/software design, and the evaluation of the prototype’s performance

Antepartum Fetal Monitoring through a Wearable System and a Mobile Application

Prenatal monitoring of Fetal Heart Rate (FHR) is crucial for the prevention of fetal pathologies and unfavorable deliveries. However, the most commonly used Cardiotocographic exam can be performed only in hospital-like structures and requires the supervision of expert personnel. For this reason, a wearable system able to continuously monitor FHR would be a noticeable step towards a personalized and remote pregnancy care. Thanks to textile electrodes, miniaturized electronics, and smart devices like smartphones and tablets, we developed a wearable integrated system for everyday fetal monitoring during the last weeks of pregnancy. Pregnant women at home can use it without the need for any external support by clinicians. The transmission of FHR to a specialized medical center allows its remote analysis, exploiting advanced algorithms running on high-performance hardware able to obtain the best classification of the fetal condition. The system has been tested on a limited set of pregnant women whose fetal electrocardiogram recordings were acquired and classified, yielding an overall score for both accuracy and sensitivity over 90%. This novel approach can open a new perspective on the continuous monitoring of fetus development by enhancing the performance of regular examinations, making treatments really personalized, and reducing hospitalization or ambulatory visits. Keywords: tele-monitoring; wearable devices; fetal heart rate; telemedicin

Low-Power Wearable ECG Monitoring System for Multiple-Patient Remote Monitoring

Many devices and solutions for remote electrocardiogram (ECG) monitoring have been proposed in the literature. These solutions typically have a large marginal cost per added sensor and are not seamlessly integrated with other smart home solutions. Here, we propose an ECG remote monitoring system that is dedicated to non-technical users in need of long-term health monitoring in residential environments and is integrated in a broader Internet-of-Things (IoT) infrastructure. Our prototype consists of a complete vertical solution with a series of advantages with respect to the state of the art, considering both the prototypes with integrated front end and prototypes realized with off-the-shelf components: 1) ECG prototype sensors with record-low energy per effective number of quantized levels; 2) an architecture providing low marginal cost per added sensor/user; and 3) the possibility of seamless integration with other smart home systems through a single IoT infrastructure

A synergistic wearable health monitoring system using cellular network technology

Thesis (M.S.) University of Alaska Fairbanks, 2017This thesis presents a synergistic approach to healthcare applications by integrating a wearable health monitoring system into a smart home system. By exploiting synergy within each system and between these two systems, this thesis shows that the efficiency of the health care can be increased while providing the added advantage of utmost user-friendly environment. Initially, a wearable health monitoring prototype system was developed for vital sign data collection and processing. The developed system used biosensor integration to distinguish amongst multiple physical activities and to compare the variations in physiological conditions according to physical activity of the user. Afterward, system learning techniques were established for accomplishing the scalability of the health monitoring system. The resulting system is able to monitor different users without the need for explicitly changing the thresholds for the individual user. The health monitoring was further improved through integration with the smart home system to exploit synergy between various physiological sensors and to reduce false alarms generated by the system. A cellular communication interface was developed for transmitting the collected data to a remote caregiver and also to store the time-stamped data on the online web server. A web interface was developed to allow monitoring user's health and activity data, along with their surrounding environment

Wireless body sensor networks for health-monitoring applications

This is an author-created, un-copyedited version of an article accepted for publication in Physiological Measurement. The publisher is not responsible for any errors or omissions in this version of the manuscript or any version derived from it. The Version of Record is available online at http://dx.doi.org/10.1088/0967-3334/29/11/R01